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Author Topic: Vaginal Atrophy - Again  (Read 15183 times)

Joaniepat

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Re: Vaginal Atrophy - Again
« Reply #30 on: May 28, 2024, 05:17:38 PM »

It's interesting, isn't it. I'm the other way round from Ayesha - only using external estriol every fourth night, and the rest of the time need the estradiol inserts. As we always say, everyone is different.
JP x
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Jules

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Re: Vaginal Atrophy - Again
« Reply #31 on: May 28, 2024, 10:44:06 PM »

Now that I know its the Estriol I need the most I have started to reduce the Vagifem to six a week and in time reduce further to five. Hopefully this experiment will work better than the last one as it will be nice to have a break from the daily regime (grind) of inserting the pessary every day for the rest of my life.
I'm currently doing every 3rd night with vagifem, every night with estriol but some days a little in the morning too. The thing worth mentioning is that I felt fine on twice a week vagifem until I happened to need an internal examination and was told it wasn't looking good. So how we feel doesn't always represent what's inside.
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Ayesha

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Re: Vaginal Atrophy - Again
« Reply #32 on: May 29, 2024, 10:56:48 AM »

I know I was starting to feel terrible again after four days of no Estriol cream, and that was just a smear twice a day but what a difference it was making to controlling VA symptoms. This time it will be interesting to see what develops not using daily Vagifem.

As you say Jules, I don't feel anything inside but I imagine the deterioration would start to happen if I gave up using Vagifem and the only way to find out is to experiment, again!
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Bunny lady

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Re: Vaginal Atrophy - Again
« Reply #33 on: May 31, 2024, 06:15:38 PM »

Hi I’m on the slippery slope again after two years battling this condition. If I reduce the amount of estriol cream at all it messes me up. There are clothes I can’t wear and foods that also have an impact. After a time of symptoms easing I’m on my second UTI and a full flare up of VA. So having a rethink - daily estriol internally and also started externally - was doing ok then wore leggings and sat in an uncomfortable chair for too long and all symptoms back and on antibiotics again. I know this is lifelong I know it can be managed but boy it’s exhausting.
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CLKD

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Re: Vaginal Atrophy - Again
« Reply #34 on: May 31, 2024, 06:52:23 PM »

Bunny Lady - has an infection been confirmed in a Lab.?  ABs will ease any inflammation but are being overprescribed and won't replace any oestrogen. 

Why did you reduce the cream?  I use 'ovestin' internally with a smear on the vulva every 3rd or 4th night. 

Which foods seem to impact the problem?  It may be that your urine is acidic which may aggravate VA symptoms. 
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Jules

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Re: Vaginal Atrophy - Again
« Reply #35 on: May 31, 2024, 08:26:33 PM »

I know I was starting to feel terrible again after four days of no Estriol cream, and that was just a smear twice a day but what a difference it was making to controlling VA symptoms. This time it will be interesting to see what develops not using daily Vagifem.

As you say Jules, I don't feel anything inside but I imagine the deterioration would start to happen if I gave up using Vagifem and the only way to find out is to experiment, again!
I darent reduce the estriol. Im worried about a regression. The progress Ive made has taken so long with nightly applications that I dont want to have to start again.  I have no discomfort, Im not getting UTIs (though I use a prophylactic AB after sex because that was the trigger). The atrophy is still an issue though some improvement, nothing like before. If only Id known about treatment!
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CLKD

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Re: Vaginal Atrophy - Again
« Reply #36 on: May 31, 2024, 08:28:21 PM »

If a regime works, stick with it!
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Bunny lady

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Re: Vaginal Atrophy - Again
« Reply #37 on: May 31, 2024, 08:48:35 PM »

CLKD - have test strips at home and show infection. Doctor wants to do further investigation for why I’ve had these recurrent UTIs - my thoughts are GSM but they want to do blood tests and scans etc. I always note changes in my routine that can link back to possible reasons why things flare up. As things get back to ‘normal’ I forget and then slip in routine. I am now trying to get back to that ‘normal’ and try not to forget that actually it is not normal anymore and without the strict regimen I will be back to the discomfort again.
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CLKD

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Re: Vaginal Atrophy - Again
« Reply #38 on: June 01, 2024, 07:09:50 AM »

Morning Girls - which investigations does your Doctor propose?  If U are using VA treatment, then try 2-3 weeks of every night.  Some need moisturisers too.  [what's GSM ? it's early for me to get brain in gear  ::) ]
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Ayesha

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Re: Vaginal Atrophy - Again
« Reply #39 on: June 01, 2024, 11:20:59 AM »

[what's GSM ? it's early for me to get brain in gear  ::) ]

Its how we are to refer to Vaginal Atrophy in future, GSM meaning 'Genitourinary Syndrome of Menopause'

Another medically named  tongue twister for us to get our heads around!
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CLKD

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Re: Vaginal Atrophy - Again
« Reply #40 on: June 01, 2024, 11:36:58 AM »

 :thankyou:   Call a spade a spade, me.  Glad that I'm not doing medical shorthand!  ;D

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Minusminnie

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Re: Vaginal Atrophy - Again
« Reply #41 on: June 01, 2024, 01:58:29 PM »

- was doing ok then wore leggings

All my jeans & trousers gradually went to charity shop a relief not to look at what you can’t really wear anymore.
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Jules

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Re: Vaginal Atrophy - Again
« Reply #42 on: June 02, 2024, 11:05:44 AM »

I was referred to a Genitourinary consultant probably 6 years ago for recurring UTIs. He did check everything to make sure there was no prolapse or any other physical issues. At the time Id been prescribed prophylactic antibiotics because they were only being triggered by sex. In previous generations wasnt it called honeymoon cystitis. It isnt an uncommon thing in women of any age because of our anatomy. He prescribed vaginal estrogen but at that time, not as much was known about it.  I recall him being very short patienced about my fears and snapping at me. No wonder when I read the leaflet, I was too worried to use it, he hadnt filled me with any reassurance. That was a mistake though not to use it. I've recently see my GP about something and we talked about VA and she told me she would not hestitate to use topical estrogen if she needed to and that there has been a big push on womens health the last 6 years because the lives of women have changed, theyve have been extended and different demands. I wondered then why she  advised about treatment earlier, or any of those GPs for that matter. There might be a push on it, but I still don't think those particular GPs take it as seriously as they should.
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CLKD

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Re: Vaginal Atrophy - Again
« Reply #43 on: June 02, 2024, 11:34:44 AM »

Honey-moon cystitis  ::).  Not quite the same as it usually resolved itself.

4 me the importance of managing the symptoms is important as well as recognising when I require a 'boost'.  Plus using 'nurofen' when there is a nip as the urine flow shuts off. 

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Ayesha

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Re: Vaginal Atrophy - Again
« Reply #44 on: June 02, 2024, 07:11:48 PM »

I am of the opinion now that if any woman is suffering with Vaginal Atrophy (GSM) and not with any other horrid condition that vagina's are prone to, then we can be completely in charge of the condition.
For instance if a GP said I was to try and reduce my use of Vagifem and Estriol it would be a firm no because I alone know what dose I need from my experience of using the treatment for nearly three years, I alone know my body and I know what is required to control the symptoms, as we have mentioned here many times, we all react in a different way when suffering with GSM.
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